Individual provider Active NPI

Marlo Watson, LCSW, LCAS

  • Clinical Social Worker
  • Garner, NC
National Provider Identifier
1285982124
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5533 Highway 42 West
Unit 4a-4
Garner, NC 27529-0001
Phone
(919) 889-1559
NPI assigned
Aug 27, 2012
Last updated
Sep 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

5533 Highway 42 West
Unit 4a-4
Garner, NC 27529-0001

Mailing address

5533 Highway 42 West
Unit 4a-4
Garner, NC 27529
Phone (919) 889-1559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140923000323 NC Practitioner - Clinical Social Worker 0143449207 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1821 Hillandale Rd
Suite 24a
Durham, NC 27705-2671
Phone (919) 383-4355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2969NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Clinical CurrentSince Aug 2, 2021 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Duke University Affiliated Physicians, Inc. Current Accepting new patients
Restoration Family Services, Inc. Addiction (Substance Use Disorder) CurrentSince Aug 10, 2016 Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Dec 12, 2022 Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Dec 12, 2022 Accepting new patients
Wakemed CurrentSince Aug 2, 2021 Accepting new patients
Kristin McArthur, MD, PLLC PastSince Feb 5, 2018 Accepting new patients

Locations

1821 Hillandale Rd
Ste 24A
Durham, NC 27705
Phone (919) 383-4355

1821 Hillandale Rd
Ste 24B
Durham, NC 27705
Phone (919) 383-4355

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

714 Wilkins St
Smithfield, NC 27577
Phone (919) 938-9502

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1285982124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5533 HIGHWAY 42 WEST",
            "address_2": "UNIT 4A-4",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "27529",
            "telephone_number": "919-889-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5533 HIGHWAY 42 WEST",
            "address_2": "UNIT 4A-4",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275290001",
            "telephone_number": "919-889-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MARLO",
        "name_prefix": "Ms.",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

Verify at the official NPI Registry.